K Number
K062100
Date Cleared
2006-12-05

(134 days)

Product Code
Regulation Number
880.6850
Reference & Predicate Devices
Predicate For
N/A
AI/MLSaMDIVD (In Vitro Diagnostic)TherapeuticDiagnosticis PCCP AuthorizedThirdpartyExpeditedreview
Intended Use

ArjoWrap 47/100 and ArjoWrap 47/88 models are single use, non-sterilization wraps intended to be used by healthcare facilities to wrap other medical devices for terminal sterilization by steam or ethylene oxide. ArjoWrap 47/100 and ArjoWrap 47/88 maintain the sterility of the enclosed devices until they are used.

ArjoWrap 47/100 and ArjoWrap 47/88 are not recommended for any type of irradiation sterilization.

Device Description

ArjoWrap is a sterilization wrap to be used by healthcare facilities to wrap other medical devices for terminal sterilization by steam or ethylene oxide. The ArjoWrap product is composed of two materials and will be offered two different weights. Each weight will be markcted in twelve sizes.

AI/ML Overview

This 510(k) summary does not contain the information required to populate the acceptance criteria and study details. This document is a premarket notification for a sterilization wrap (ArjoWrap) and focuses on demonstrating substantial equivalence to a predicate device (Sterisheet Sterilization Wrap).

The provided text details:

  • Device Description: ArjoWrap is a sterilization wrap made of two materials, available in two weights and twelve sizes.
  • Intended Use: For wrapping other medical devices for terminal sterilization by steam or ethylene oxide, maintaining sterility until use. Not for irradiation sterilization.
  • Substantial Equivalence: Claimed based on equivalent intended use, manufacturing materials, operating principles, and physical, operational, and biological specifications compared to the predicate device K931202.

Crucially, there is no mention of:

  • Specific quantitative acceptance criteria (e.g., sensitivity, specificity, accuracy, or performance metrics for a diagnostic device).
  • Any performance study with a test set, ground truth, or expert review. This type of submission (for a sterilization wrap) typically relies on material properties testing and comparative analysis to a predicate device rather than clinical performance studies involving interpretation by experts.
  • Algorithms, AI assistance, or human-in-the-loop performance. This is a medical device (sterilization wrap), not an AI/ML diagnostic or assistive tool.

Therefore, I cannot fill out the requested table and study details from the provided text. The submission type and device being described do not generate the kind of information asked for in your prompt (which is typically related to AI/ML diagnostic or image interpretation devices).

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K062100

510(K) SUMMARY (as required by 807.92(c))

DEC - 5 2006

Submitter of 510(k):Arjo Wiggins Medical, Inc.1301 Charleston Regional Parkway, Suite 500Charleston, SC 29492Phone:
Contact Person:Dave Darby
Date of Summary:July 7, 2006
Trade/Proprietary Name:ArjoWrap 47/100 and 47/88
Classification Name:Wrap, Sterilization
Product Code:FRG

Device Description:

ArjoWrap is a sterilization wrap to be used by healthcare facilities to wrap other medical devices for terminal sterilization by steam or ethylene oxide. The ArjoWrap product is composed of two materials and will be offered two different weights. Each weight will be markcted in twelve sizes.

Predicate Device:K931202 – Sterisheet Sterilization Wrap, Arjo Wiggins
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Substantial Equivalence:

Arjo Wiggins claims the proposed device to be substantially equivalent to the device previously cleared by FDA in K931202. The modifications to the predicate have been described in Section 5 of this submission. Arjo Wiggins claims this equivalence be cause the proposed device has an equivalent intended use, manufacturing materials, operating principles, and physical, operational and biological specification as compared to the predicate device.

The similarities and differences between the proposed and predicate devices have been identified and explained in the Comparison Matrix which has been included as Enclosure A of this Summary. These differences have no effect on safety and effectiveness.

Intended Use:

ArjoWrap is a single use, non-sterile sterilization wrap intended to be used by healthcare facilities to wrap other medical devices for terminal sterilization by steam or ethylene oxide. ArjoWrap maintains the sterility of the enclosed devices until they are used. ArjoWrap is not recommended for any type of irradiation sterilization.

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Image /page/1/Picture/11 description: The image shows the logo for the U.S. Department of Health & Human Services. The logo features a stylized eagle with its wings spread, symbolizing strength and protection. The text "DEPARTMENT OF HEALTH & HUMAN SERVICES - USA" is arranged in a circular pattern around the eagle, indicating the department's name and national affiliation. The logo is presented in black and white, giving it a formal and official appearance.

Food and Drug Administration 9200 Corporate Boulevard Rockville MD 20850

DEC - 5 2006

ARJO Wiggins Medical, Incorporated C/O Mr. Arthur Ward Consultant RMS Regulatory & Marketing Services, Incorporated 962 Allegro Lane Apollo Beach, Florida 33572

Re: K062100

Trade/Device Name: ArjoWrap 47/100 and 47/88 Regulation Number: 880.6850 Regulation Name: Sterilization Wrap Regulatory Class: II Product Code: FRG Dated: November 17, 2006 Received: November 21, 2006

Dear Mr. Ward:

We have reviewed your Section 510(k) premarket notification of intent to market the device referenced above and have determined the device is substantially equivalent (for the indications for use stated in the enclosure) to legally marketed predicate devices marketed in interstate commerce prior to May 28, 1976, the enactment date of the Medical Device Amendments, or to devices that have been reclassified in accordance with the provisions of the Federal Food, Drug, and Cosmetic Act (Act) that do not require approval of a premarket approval application (PMA). You may, therefore, market the device, subject to the general controls provisions of the Act. The general controls provisions of the Act include requirements for annual registration, listing of devices, good manufacturing practice, labeling, and prohibitions against misbranding and adulteration.

If your device is classified (see above) into either class II (Special Controls) or class III (PMA), it may be subject to such additional controls. Existing major regulations affecting your device can be found in the Code of Federal Regulations, Title 21, Parts 800 to 898. In addition, FDA may publish further announcements concerning your device in the Federal Register.

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Page 2 -- Mr. Ward

Please be advised that FDA's issuance of a substantial equivalence determination does not mean that FDA has made a determination that your device complies with other requirements of the Act or any Federal statutes and regulations administered by other Federal agencies. You must comply with all the Act's requirements, including, but not limited to: registration and listing (21 CFR Part 807); labeling (21 CFR Part 801); good manufacturing practice requirements as set forth in the quality systems (OS) regulation (21 CFR Part 820); and if applicable, the electronic product radiation control provisions (Sections 531-542 of the Act); 21 CFR 1000-1050.

This letter will allow you to begin marketing your device as described in your Section 510(k) premarket notification. The FDA finding of substantial equivalence of your device to a legally marketed predicate device results in a classification for your device and thus, permits your device to proceed to the market.

If you desire specific advice for your device on our labeling regulation (21 CFR Part 801), please contact the Office of Compliance at (240) 276-0115. Also, please note the regulation entitled, "Misbranding by reference to premarket notification" (21CFR Part 807.97). You may obtain other general information on your responsibilities under the Act from the Division of Small Manufacturers, International and Consumer Assistance at its toll-free number (800) 638-2041 or (301) 443-6597 or at its Internet address http://www.fda.gov/cdrh/industry/support/index.html.

Sincerely yours.

Chiu Lin, Ph.D.

Director Division of Anesthesiology, General Hospital, Infection Control and Dental Devices Office of Device Evaluation Center for Devices and Radiological Health

Enclosure

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Indications for Use

510(k) Number (if known): K062100

Device Name: ArjoWrap 47/100 and 47/88

Indications for Use:

ArjoWrap 47/100 and ArjoWrap 47/88 models are single use, non-sterilization wraps intended to be used by healthcare facilities to wrap other medical devices for terminal sterilization by steam or ethylene oxide. ArjoWrap 47/100 and ArjoWrap 47/88 maintain the sterility of the enclosed devices until they are used.

ArjoWrap 47/100 and ArjoWrap 47/88 are not recommended for any type of irradiation sterilization.

Prescription Use _____________________________________________________________________________________________________________________________________________________________ × (21 CFR 807 Subpart C)

(PLEASE DO NOT WRITE BELOW THIS LINE-CONTINUE ON ANOTHER PAGE OF NEEDED)

Concurrence of CDRH, Office of Device Evaluation (ODE)

of Anesthesiology, General Hospical, on Control, Dental Device

Number K062100

§ 880.6850 Sterilization wrap.

(a)
Identification. A sterilization wrap (pack, sterilization wrapper, bag, or accessories, is a device intended to be used to enclose another medical device that is to be sterilized by a health care provider. It is intended to allow sterilization of the enclosed medical device and also to maintain sterility of the enclosed device until used.(b)
Classification. Class II (performance standards).